You can find pain codes in three different places in the ICD-10-CM manual:
There is no bilateral code for knee pain in ICD-10-CM; therefore, two codes are necessary to indicate both knees are affected. The fact that the knee pain is chronic is not addressed in the codes for knee pain. Codes in category G89 in ICD-10-CM are for Pain, not elsewhere classified, including acute and chronic pain.
M17. 9 - Osteoarthritis of knee, unspecified | ICD-10-CM.
H92. 03 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H92. 03 became effective on October 1, 2021.
Some people get OA in just one knee, which is known as unilateral OA. Bilateral knee arthritis occurs when both knees are affected with OA. OA is a painful, degenerative condition that can reduce your mobility and make daily tasks difficult to manage.
M17. 0 - Bilateral primary osteoarthritis of knee | ICD-10-CM.
ICD-10-CM Code for Unilateral primary osteoarthritis, left knee M17. 12.
ICD-10 Code for Pain in unspecified knee- M25. 569- Codify by AAPC.
ICD-10-CM Code for Unilateral primary osteoarthritis, right knee M17. 11.
ICD-10 code M19. 90 for Unspecified osteoarthritis, unspecified site is a medical classification as listed by WHO under the range - Arthropathies .
Michael Bates, MD. When arthritis or other damage to the knee joint becomes severe, patients may consider knee replacement surgery. A bilateral knee replacement is when both knees are replaced during the same surgical procedure.
Of those with unilateral knee osteoarthritis at baseline, 80% developed bilateral disease over 12 years. Osteoarthritis may have an asymmetrical onset but it has a tendency to affect both joints with time.
Simultaneous Joint Replacement Simultaneous bilateral total joint replacement is when both hips or knees are replaced on the same day under the same anesthetic.
If you have osteoarthritis of the knee, you will probably feel your knee is painful and stiff at times. It may only affect one knee, especially if you've injured it in the past, or you could have it in both. The pain may feel worse at the end of the day, or when you move your knee, and it may improve when you rest.
Primary osteoarthritis is caused by the breakdown of cartilage, a rubbery material that eases the friction in your joints. It can happen in any joint but usually affects your fingers, thumbs, spine, hips, knees, or big toes.
Arthritis of the Knee. Arthritis of the knee joint is a serious, painful disease that gets worse with age. Osteoarthritis is the most common type, and you can get it in one or both knees. The most common symptoms are pain, swelling and stiffness of the knee joint.
Rheumatoid arthritis is a diffuse disease with a propensity for synovial inflammation. This condition involves the joints bilaterally and usually symmetrically. Unilateral and asymmetrical rheumatoid arthritis has been seen in patients with disorders of the central or peripheral nervous system.
There may be need of radiological tests (X-ray, CT, MRI, ultrasound) or arthrocentesis (lab analysis of knee joint fluid) for further evaluation to check for infections or injury to tendon or ligament.
Knee is one of the biggest joint in body which joints thigh bone (femur) and lower leg joint (tibia). The knee cap is called patella. Tendons (flexible connective tissue) and ligaments (inelastic collagen tissue) help joining these bones and make the knee joint.
Knee pain can be mild, moderate or severe. The reasons for pain can vary such as injury, overuse, infection and inflammation. Sometimes there may be swelling and redness depends on the cause. We need to visit doctor as per the severity and as per how long the pain lasts.
Hoffa’s syndrome is not coded as it is mentioned as “possible”.
Knee pain is a symptom; hence follow ICD coding guideline of not coding signs and symptoms when there is a definitive diagnosis made.
Review the entire medical record thoroughly especially physical examination to determine the correct anatomical site of pain. Do not code unspecified knee pain if there is any site specification mentioned in the record.
Arthritis is the inflammation of one or many joints which causes common symptoms like stiffness and pain and these get worse when getting older. Treatment can help reducing symptoms, but arthritis cannot be cured totally. Most type of Arthritis can lasts for many years or can be there life long.
There are several different types of arthritis depending on the causal organism (Gonococcal, Pneumococcal, Streptococcal etc.), Infectious, Juvenile, due to some other disease and many other. Common types of arthritis found in medical records are osteoarthritis and rheumatoid arthritis.
Polyarthritis – Arthritis of 5 or more joints is coded as polyarthritis instead of coding each joint arthritis.
Primary Osteoarthritis – Wear and tear of the joint due to age.
Codes from M00.00 to M00.09 – Caused by Staphylococcus
M08.20 to M08.2A – Juvenile RA With systemic onset
Unspecified site – When not mentioned the anatomical site.
Rheumatoid arthritis without rheumatoid factor, left knee 1 M06.062 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM M06.062 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of M06.062 - other international versions of ICD-10 M06.062 may differ.
The 2022 edition of ICD-10-CM M06.062 became effective on October 1, 2021.